In the United States, there are only two acceptable methods for butt augmentation: a fat transfer to the butt and a butt augmentation with an implant. In my practice in Houston, I do both. Frequently, patients call asking for silicone, hydrogel, and juvederm for buttock augmentation.
There are currently no indications to use juvederm for butt augmentation. Although juvederm has been well accepted for facial soft tissue augmentation, it is not used for high volume augmentation. Let’s put things on perspective. I routinely perform butt augmentation with fat transfer. To get good results, I typically inject 300 cc – 400 cc of fat into each buttock. Now, Juvederm comes in syringes of approximately 0.8 cc (0.8 ml or less than a table spoon). Each syringe of juvederm cost about $400.00. If I were going to inject 300 – 400 cc of juvederm, it will cost you about $240,000 - $320,000. In addition, juvederm is not permanent and the long-term consequences of using this product for high volume soft tissue augmentation have not been studied yet.
This is one of the reasons why illegal hydrogel has become very popular in the underground world. Except for fat transfer, I do not recommend buttock augmentation with any of these products.